DESTINY RICKEL MCFADDEN (NPI# 1043865447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043865447 |
| Entity Type | Individual |
| Full Name | DESTINY RICKEL MCFADDEN |
| Credential | RN |
| Practice Address |
3235 Satellite Boulevard Building 400, Suite 300 Duluth GA 30096-0020 |
| Practice Telephone | 7702912118 |
| Mailing Telephone | 7702912118 |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2020-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 163W00000X | Registered Nurse | RN279690 | GA | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN279690 | GA | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN279690 | GA | Nursing Service Providers |
| Y | 163WN1003X |
Registered Nurse Specialization: Nutrition Support |
RN279690 | GA | Nursing Service Providers |
| N | 175F00000X | Naturopath | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
3235 SATELLITE BOULEVARD BUILDING 400, SUITE 300 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-0020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230151 | Holtarian LLC | Home Health | 3235 Satellite Boulevard, Building 400, Suite 300, Duluth, GA 30096 | 2019-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 163WN1003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Nutrition Support |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254071 | Margaret Kay Carter | Registered Nurse | 1000 Johnson Ferry Rd Ne, Northside Hospital Pharmacy, Atlanta, GA 30342-1606 | 2005-09-12 |
Please comment or provide details below to improve the information on DESTINY RICKEL MCFADDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.